MH17

On July 17th, 2014, Malaysia and the rest of the world is shocked again by tragic news of MH17 being shot down in the airspace of Ukraine.
This occurring just 4 months after the disapperance of MH370 which has yet to be discovered, one of the greatest mysteries in modern aviation history.
Once again, hundreds of innocent lives were lost. Once again, families, relatives and friends of all those on board the ill fated plane mourn and weep for their loved ones. Once again, the whole world, especially in the countries affected, turn to social media to express their outrage at such a tragedy and what can be regarded as a heinous act of crime. Once again, words of comfort and condolences and prayers go out to the loved ones of those who perished in the flight. Again, fingers are being pointed and the blame game begins. Was it Malaysia Airlines’ fault for flying over the war zone to save fuel? And who fired the missile? Ukraine or Russia? Or was the plane just at the wrong place at the wrong time?
Once again, Malaysia, a peace loving country which has always been free from war, international conflict, famine or natural disasters, is in the international headlines, again for the wrong reasons.
Again, we are reminded of how fragile life actually is. It is human nature to think that this kind of tragedy will never happen to us- but we just never know when our lives will actually end and how. Our lives can just be taken away from us in an instant, be it in a plane crash, a road traffic accident, a crime, a terminal illness. It is only when a tragedy of such large proportion occurs do we pause and take a moment from our busy lives to really reflect on what is actually important in life- love, our loved ones.
But as the saying goes, there is always a light at the end of the tunnel, a rainbow at the end of a storm and a silver lightning above the clouds. News like this will unite Malaysia as a nation. Malaysia, a nation who has always prided itself in being a multiracial country where people of various races and religions live together in harmony has lately seen an increase in racial squabbles and tension in the country. This hopefully will unite us as a nation in praying for those affected….regardless of race and religion. And hopefully this will unite the whole world too…in praying for the loved ones…..regardless of nationality, race, religion. Maybe this will unite the world in speaking up against war.
Because as we speak- wars are still raging on between Israel and Palestine in Gaza and Russia and Ukraine..and also other parts of the world. We now wonder what exactly has humanity become. Humans have become greedy, greedy for power, greedy for money, status and fame. People get raped, murdered, prosecuted daily, we have become numb to emotions.
So even if we are helpless against what is going around us in the world daily, just do me a favour please. Hug your loved ones today. Because life in this world is indeed very short, just temporary.
As Carrie Underwood says, this is our temporary home, before eternity.

Love : Ai Ling

Happy Father's Day!!

This was written on Father's Day...another popular Facebook post...

Growing up without a father, I used to think that a girl does not need a father if she has a mother who can take care of all her needs. I grew up resenting my biological father for just abandoning me and my mother and leaving me with a name which I did not want. Even though I always claimed that I do not need a father in my life- it still affected me somewhat. I lack self-esteem and confidence up till now. It greatly skewed my view on men ( who needs men in their lives?). I have a wonderful mother in my life, who needs a father?
I never knew how much I missed out on a father's love until I ( or rather my mum) met you. You more than made up for the lack of a paternal figure in my life. You are a million times a father to me than my real father will ever be. You taught me how a father's love is like, although I learnt it so late in my life. Although you seldom speak, but your actions say it all. You willingly become my driver when I need to go to a faraway place. You will send me something I've forgotten at home without a single complaint. You tell me not to look down on myself. You hold so much hope and faith in me. And you never fail to cook wonderful dishes for my friends when they come to visit. You're everything a father is and more.
Now I have learnt what a father actually is.
Sorry I take you for granted sometimes. Happy Father's Day!!

The End Of Housemanship

Finally after 2 and a half years of blood, sweat , tears and toil...

Finally the day has come. The day I have been waiting for what seems like forever. 2 and a half years and more of tears, blood, sweat and toil has finally come to an end.

There were uncountable times when I felt like giving up, especially during my first posting. There were many times when I felt like housemanship was never ever going to end and I felt like I would be stuck in the same posting and would be a chronic HO forever. There were times during each posting when I just felt like breaking down and quitting and thinking whether all this was worth it. The long nights on call in each posting, the long hours working and feeling hungry and tired all the time. The past 2 and a half years I felt almost like a robot- just working all the time. I feel like I have become emotionless too.

However, family, friends and most important of all God kept me going all throughout housemeanship. My mum, who is have to admit is the main reason I am doing this in the first place, never let me give up. Whenever I came home upset about something, she would somehow manage to make it seem like such an insignificant thing after all. My stepsisters and stepfather too. My family are my rock. I wouldn’t have made it through without them.

I also have to thank my bosses throughout all 6 postings for their guidance and support, especially for those who were extremely patient with me- only God can return your favour and bless you. Even the bosses who yelled at me, I know they had a good reason to, they wanted me to learn. Each and everyone of you have left a piece of yourselves which I would always keep in my heart and cherish forever. The same to my colleagues from all postings- it was really a joy meeting all of you and working with all of you, each of you left me with memories and moments which I would cherish forever.

To all my TS sisters- thank you for standing by me and giving me encouragement and support all this while. You girls never fail to boost my confidence when I feel down in the gutters. This is for all of you, this goes to show that we Turner Syndrome girls can do just about anything that a normal girl can do and more. Although I struggled in many ways that nobody knew, but I made it!

At the end of the day, I wouldn’t say that it has been a good experience for me, a memorable one yes, but definitely not something which I would like to go through again. This experience was made all the more precious by the fact that I had to endure another extra half a year and more invisible struggles compared to others. All I know is that I have tried my uttermost best in everything I do throughout housemanship despite all my limitations.

To all aspiring doctors- I have to say- you really have to be passionate about this job to be able to go through this. You have to be really sure this is really what you want, that you want to sacrifice your time, your well being, your livelihood, your everything into your work. Otherwise it would not be worth it- please go find another job, there are so many other well respected and much more well payed jobs out there, and there are so many other ways to help people. Really.

What is next for me? I still don’t know right now, after all my goal was to just finish housemanship and take it from there. I definitely do not want to be based in a hospital setting.

I end here with a poem which sums up all 6 postings that I went through during housemanship:

I am a houseman in surgical posting
Camping for open appendicectomies
Helping in the endoscope room and OT
Reviewing post operative patients
Ensuring patients are well prepped for surgery.
I am a houseman in medical posting
There is blood C&S x 2 to take
There is a new admission to be clerked
There are some routine bloods to take
Prepare- there is a stab PD and an LP to be done
Oh no, patient has collapsed lets start CPR
I am a houseman in Ortho posting
Doing wound desloughing on a diabetic foot ulcer patient
Doing wound irrigation on an open fracture
Doing CMR and POP on a distal end radius fracture
Oh a&E has referred a case of femoral shaft fracture, prepare for tibial pin insertion!
I am in houseman in O&G posting in the labour ward
‘Caesar!’ someone screams…and I rush in with the OT chit and consent forms.
‘Vacuum!’ someone screams….and I rush in with the vacuum machine and the vacuum cup
And is that a deceleration I see on the CTG?
Doing ARM, or scrubbing in for Caesar and having liquor spill over you oh the joy!
I am a houseman in Paeds posting
I have to get accustomed to the sound of the whole cubicle of babies wailing.
Oh those delicate little veins of premature babies- and I have to take blood c&S and routine bloods from them.
And several SBs to take
Oh uh- My pager beeps and I have to standby for Caesar
I am a houseman in A&E posting- The green zone triage is piling up.
A patient comes in and screams that they have been waiting outside for hours together with hundreds of other patients.
The paramedics are pushing in a young woman on a trolley to the yellow zone. ‘Syncopal attack? Hyperventilation? PV bleed?’ We all wonder.
‘Beep’ a single buzz is heard. I rush into the red zone to join in performing cpr on a patient.
30 minutes is up and the patient is pronounced asystole. The family members wailing can be heard from outside.
But I have no time to waste as I have another ping pong case to settle- Ortho didn’t want to take so I have to convince Medical.
And again I wonder is it worth it.

And now I have closed this chapter of my life and I am ready to move on to the next.

 

A Day in the life of a Paeds Houseman

After O&G - came Paeds...

According to the Nursery schedule- I am first Resus again today- which means I will be holding the damn Pager. Which means I will be resuscitating babies in the OT and labour ward. Which means I will be doing all the baby checks in the maternity 2 and 3 wards and attending to all the open card issues there. Which also means that I would be working until at least 11 pm today.
Which basically means I have to be prepared for another damn tiring day of running around.

At 6 am sharp, just as I am about to enter the Nursery – my whatsapp application rings. ‘Ailing where r u? I need to handover the pager to you.’ My colleague who is post night posted in the Nursery whatsapp group.
When I appear in front of him, he grins and hands the grey pager over to me oh so happily. He seems to make it no secret that he is so happy to be getting his hands off that thing. I can’t blame him.
He informs me that there are 2 pending cases, one MMSL which is currently 5cm, And another emergency Caesar for poor progress of labour.
Damn, I think to myself, I just took over the pager and already they are two cases waiting for me.

I head up to the maternity 2 ward- where I am welcomed by the oh so familiar sound of running ctgs and waiting babies. I bypass the patients- some with babies beside them and some strapped to ctgs, and the O&G housemen rushing through their morning reviews and reach the baby room.
The baby nurse greats me happily and I ask her how many new mothers and babies are for discharge today which baby checks were not done. She hands me the record book and I count 6. Well, not too bad. I’ll try to squeeze in as many as possible before the pager beeps.
I reach the first baby and get permission from the mother to check the baby. I quickly auscultate the heart and lungs and feel for the femoral pulse before the baby starts wailing. And then just on cue- the baby starts wailing loudly. After checking the baby from head to toe, I find myself cooing to the baby ‘open up your eyes baby, open up your eyes’.. rocking him back and forth with the opthalmoscope in standby.
Just then, the pager beeps. 4012. Of course it is the labour ward. And of course it is the O&G houseman. ‘Hi- it is regarding the case I referred to you guys just now. The 40 weeks gestation with MMSL in room 5. Os is full now.’ Oh great. How I love the word meconium.

I rush down to the labour ward and into a room where the O&G MO, a couple of HOs and a few nurses were surrounding a labouring mother. Checking quickly that all the equipment I need were there, I wait. Progress seems to be slow- and the MO decides to perform a vacuum delivery. ‘Room 5 vacuum!’ The 0&G HOs begin scrambling to get the vacuum cup and the vacuum machine. At least they do not need to scramble to page me. As the MO performs the vacuum and the head finally appears, I find myself praying hard. The baby is finally out. ‘Please, please baby cry’.. I think to myself. I hate having to perform direct suction on a newborn. After a couple of agonizing seconds which seem like minutes- the baby lets out a loud wail. I sigh in relief. No need for direct suction. After the baby has been wiped and dried and suctioned, and doesn’t seem to be in respiratory distress, I call the nursery to inform the nursery MO and nurses that I am admitting a post vacuum delivery baby for observation.
I have barely finished documenting in the baby card, when the O&G houseman finds me and says that they are pushing the poor progress in labour into main OT now. I thank her and finish up my documentation and head down to OT.
When I reach OT, the baby nurses had already prepared the suction and the self inflating bag and have warmed up the radiant warmer. I peep inside and see the Caesar already in progress. The Doyan is already in the placed in the uterus. The O&G MO performing the Caesar is very fast and efficient so I better get ready now.
Again, I wear my gloves, check the equipment and wait, and pray. I hear the sound of suction- and I know it is almost time. I peep in and see the HO giving fundal aid and the MO trying to deliver the baby. Soon the baby is out. Cry, baby cry.
The nurse carries a wailing baby over to the warmer to me and the other nurse. I swear I can hear the baby wailing ‘mama’. And I am just glad that she is crying loudly.

As I reach back the maternity ward to continue the baby checks- the baby nurse informs me that the HPC for one macrosomic baby is only 1.9, another baby is vomiting and several SB results have come back and are due for interpretation.
By the evening- I have attended 6 caesars, 2 vacuums, done newborn checks for 15 babies, interpreted 10 SBs, admitted 4 babies into nursery and 2 babies into the general ward.

It is now 6:30 pm, and I am taking SB for a baby in nursery. Squeeze and release, squeeze and release. The bottle fills up slowly with precious blood. Just as I am done, the pager beeps. This time, the O&G HO sounds frantic. ‘Baby flat! 39 weeks gestation, antenatally uncomplicated, no meconium- room 7!’ I can feel my hair rising. I can imagine the scream of ‘Baby flat!’ in the labour room and the ensuing scramble to page me. Yelling to my colleague to inform our MO on call nursery/NICU- I rush over to the labour room. I wonder, is there anyone attending to the baby? PPV X 1 given by O&G MO looks nice written on the nursery clerking sheet. I find a couple of nurses giving free flow oxygen to the babv and the baby is now crying. Apparently he started crying after tactile stimulation. Thank God. My MO soon arrives and asks me to just continue observing the baby and admit for observation if there is any signs of respiratory distress.

Just then, the O&G HO comes in to inform me that they are posting another emergency Caesar for macrosomic baby in labour.
And I still have 4 more hours to go before the end of my day, a day in the life of a Paeds Houseman holding the pager.

 

Goodbye 2013, hello 2014

This was, of course during 1st January 2014

Goodbye 2013, hello 2014

So the time has come again….to say goodbye to yet another year, to welcome the new year.
For most of us, it’s the time to leave behind all the memories, good or bad of the entire year and look forward to the new year with full of hope and excitement for new beginnings.

For me- 2013 has been a year of progress. And a year of waiting. I went through 3 more housemanship postings – Ortho, O&G and Paeds. Meanwhile, renovation works for my new house is also finally in progress.

2013 taught me to be strong and most of all taught me to be patient.
To be patient as I wait to complete the postings and complete housemanship. To be patient as I wait for my new house to be completed.
I thank God for his blessings during the entire year. I am sure He was always looking out for me the entire year- sending me guardian angels to watch over me the entire year.

Each of the 3 postings I went through this year had it’s own trials. Left some memories that I rather erase out of my memory. But also each of the postings gave me memories and lessons that I would cherish a lifetime. And I thank God also for all the colleagues and bosses I made along the way in each of these postings.
I would never forget the handovers in Ortho- which initially filled me with trepidation, but which eventually I got used to. I would always remember the consensus when in Peri team – the buzzing of the Whatsapp application as Peri team members scramble as usual to search for all the patients damn xrays, or when the A&E call people would send pictures of wounds to the ward call people
I would always remember the screams of ‘os full! Vacuum! Caesar! In the labour ward and the hustle that comes after that. The smell of liquor.The sound of running ctgs and even the sound of a deceleration I can still recall. The steps of performing a Caesar- well maybe.
I will always remember the omnimous sound of the pager beeping again. The sound of the entire cubicle of babies all deciding to wail at the same time. The frustration of waiting for a small fbc or buse bottle to be filled with small precious drops of blood. The chubby faces of these cute babies in nursery.
Last but not least, I will always remember the bosses and colleagues I have met along the way in these 3 postings- all subconsciously left a piece of them in me.

I think maybe it is in God’s plan to let me start the brand new year with a brand new posting. As I start A&E posting on the 1st January (what a nice date to start with!) I hope I can just start everything afresh and anew. Again, I am nervous, as I don’t know what the posting would bring. Several of my friends are now MOs in that department so that comforts me somewhat. I know God will see me through this posting as He has seen me through the other 5 postings. I will come face to face again with all the bosses from previous postings when I refer to them, it is a scary thought but at least I know them. I really hope I remember all that I have learnt in the previous 5 postings – when I pick up the phone to call the Surgical or Ortho MO A&E and ward call. Or when I pick up the phone to call the already overworked Medical MO A&E call who probably had already received over 20 referrals for the day up to that point. I hope I remember my stuff when I call the labour ward looking for any O&G MO on call. Or when I page the Paeds general ward on call MO.
I just want God to give me the Grace I need to get through this A&E posting so that I can complete my housemanship.

Then I need His guidance to help me decide where I should go next – because honestly, I am still undecided. I really need a posting- a less stressful and less fast paced one with more time to spare, where I can finally plant myself in, develop my hidden talents and be who I really am. Because frankly, I am still lost.

I just know that 2014 will be the year of new beginnings for me. A new house, a new posting. And a new life after that. I am both nervous and excited at the same time.
I hope I can rediscover myself this upcoming year. I hope I can just start knowing myself and stop hating myself and beating myself up this year. And stop just stop worrying about what others think about me. And start appreciating things and people that actually do matter. That, my friends, are my new year resolutions.

I would like to wish everyone a Happy New Year 2014- and may the upcoming new year bring with it lots of joy, laughter, happiness and memories to cherish for you and your loved ones 

5 things about me...

I got the number 5, so here are 5 things very few people know about me:
1) I have a not well known condition called Turners syndrome.. It affects my daily activities and job - causing me to struggle daily in ways nobody can understand. But I know I am a survivor. Only 2% of us actually survive until birth. Many of us get aborted.
2) I actually have 2 degrees- my 1st degree was in Neuroscience from Cardiff university. But I never tell anyone this.... I decided not to continue my masters in Neuroscience and to come back to Malaysia to do medicine instead. Wrong move indeed.
3) I have a stepfather and 2 stepsisters whom I love dearly , and the best mother in the whole world
4) I have 5 dogs and 1 cat
5) I love food- any food except for seafood which I am allergic to

On my 30th birthday..

 This post was written when I was approaching my 30th birthday....The sentiments are still the same right now.. except that I have indeed finished housemanship and am a Medical Officer working in a government clinic right now...

At the age of 30: i have yet to achieve any of my dreams. I have never fallen in Love before. I have never been to America. I have never been bungee jumping or skydiving or anything crazy like that. I have never published a book before. And i still don't know What i want to do after housemanship. But at the age of 30: i know that i have a loving Mother, a supportive stepfather and 2 Lovely stepsisters. And a God that loves me unconditionally. What more can i want? My birthday wish this year is only one: to finish housemanship. . and my birthday Message is only one: to let all of you know that i Love you all and i'm Sorry if i unintentionally irritated you. I never meant it. I have to learn to be grateful for all i have. After All- i beat the odds of a 2 percent chance of surviving until birth. God has been so good- He has given me 30 years and more to experience this wonderful life which many of my TS sisters unfortunately don't. Thank you Lord.

O&G posting

 Author's Note :

This article was originally posted on my Facebook in May 2013 and received overwhelming response :) So I am reposting it here in my blog.

 

I have never liked O&G. I still don’t and I never will.
My hatred for this O&G posting has been implanted in me ever since in medical school. Nothing to do with bosses…..it is mainly because of the stressful environment surrounding the posting. Why not- O&G involves not one but two lives at stake for each patient. So everything has to be more strict- from the rules and regulations, the procedures needed to pass the posting. And everything about this posting is so fast paced. A woman can bleed out an entire litre of blood in just a few minutes if nothing is being done about it. And it’s scary.
So when I found out that I was going to O&G posting after Ortho…..my initial reaction was ‘OMG….I am going to O&G….’
Then it was followed by the feeling of fear and anxiety and nervousness and trepidation.
Me and O&G never really got along….and I suspected we never will. I recall many tears being shed whenever I go through O&G posting in medical school, and it is just going to get worse as I actually start working.
So yeah I entered this posting just praying to God that I will come out of it alive. And I am only half joking. Before even stepping my small feet into the department, I have heard many stories about the department. How they have the fiercest bosses of all departments, how it is the most stressful and worst department ever, how it has the highest extension rate of all. I heard about the suicide stories, I heard about the horror that are the 3 Js…I have heard it all. And I have heard how this posting is like hell literally. And I was warned from the very beginning…..that you will get screamed at every single second every single day…..for at least the first month of the posting.
It turned out to be mostly true….but at least I was prepared. I did get yelled at by every single boss, especially for the first month. Labour ward is equivalent to hell, ok maybe not hell literally, but 100x worse than a fish market.
I do recall many moments especially during tagging when I wanted to just break down and cry. I recall going back at 1 am in the morning during my day tag because the MO wouldn’t let the patient be admitted to the ward until a proper CTG tracing was obtained. I recall the same MO asking me ‘Are you on drugs or are you just simply tired?’ I recall getting kicked out of the ward right on my first day in the ward. I recall an MO throwing my clerking sheet right into my face. You are being made to feel like crap literally.
And I really missed Ortho posting.
Things did get better during the second month when I got to maternity ward. But it is still stressful nonetheless. Only two HOs per ward, so you have to come super early every morning if you are to finish reviewing every single patient. And bosses do expect you to know every single patient.
Although I prefer the maternity 2 ward better, the maternity 2 ward calls were the worst. Whenever I am on call in maternity 2, everything would go wrong. CTGs would go suspicious. Placenta praevia patients would bleed. PIH patients would have persistently high BP. Preterm patient would go into preterm labour. And at least 4-5 patients would need post Caesar reviews. And everytime I was on call in maternity 2 ward- at least a quarter of the ward would be transferred down to Labour Ward.
Gynae Ward was surprisingly good. Bosses and colleagues were nice, calls were better.
But then came the final month, and with it came the struggle for procedures. So many things to do….MRPs, ERPOCs, salphingectomy, BTLs, closing and of course the skin to skin.
I honestly don’t know how I was going to accomplish all these.
You see, I am born with a genetic condition called Turner’s Syndrome. The well known facts about it is that you have a short stature and can’t have kids of your own. What nobody knows is how it causes you to have a non-verbal learning disability in which your brain and your arms and legs fail to coordinate properly, causing you to have a delayed response and seem very slow and clumsy. What they don’t tell you is how you do NOT learn but simply observing like others do- as the attention deficit disorder that comes with this- causes you to be unable to pick up the finer details of any procedure you are supposed to learn. What they don’t tell you is that the only way you learn is by actually having someone who is patient enough to guide you through a procedure step by step and letting you practice the same thing over and over again. (And O&G bosses are the least patient of them all, as to be expected).
So nobody can imagine the struggle I had to go through. Every single procedure involves great effort in my part, from diluting antibiotics, to tying my apron, to scrubbing to wearing gloves…. I just can’t seem to do anything properly no matter how hard I try and how many times I do it. And every single boss I assist will ask me the same thing ‘ Is it the first time you are in the OT?’ I don’t know how to answer them, I really don’t. A normal slow person would actually pick all these things up after a few times in the OT. But not me. This is not normal anymore, this is PATHOLOGICAL.
And as you can imagine- if I can’t even do basic things properly- how will any boss ever let me do any single procedure?
I went through an entire month of feeling hopeless because of this. I tried as many passives as I could. I stayed back after every call to camp for procedures, as somehow I just can’t seem to get my procedures during my passives. I practiced hand tie and suturing at home every night. But it just didn’t help. I would just stumble and fall again when the time comes.
I cried after every passive call. I never felt this hopeless and helpless and ridiculous before in my whole life. I asked God whether He will ever get me out of this if He let me into this. Anyways His promise was that He will never give us more than we can handle. The worst thing of it all was that quitting or taking my life wasn’t even an option. So you can imagine how hopeless I felt. AT one point I was wondering whether I would ever get out of the posting. All the while a small voice inside me said ‘Yes, you will’ But I refused to believe it.
I can now safely say that the one and only thing that got me through this posting is God’s Grace.
He gave me sufficient Grace I needed to get through each day of the posting. Everyday I would wake up at 3:30 am in the morning wondering why I have to go through another day of this. But then He gave me the strength I needed to sustain me through the whole day, to speak to my patients, colleagues and bosses. He gave me the strength to smile at them when all I wanted to do was to curl up in a ball and cry.
And He gave me guardian Angels, as one of my MOs calls them. Some wonderful colleagues and bosses who actually supported me through my ordeal…without you I wouldn’t have gone through this…you know who you are : ) I really thank God from the bottom of my heart for all of you.
So as I reach the end of this posting and I reflect back….I can say that it was a good experience. Definitely NOT an experience that I would want to relive, but a good experience nonetheless. I will in a weird way actually miss some aspects of this posting. I will miss the sound of CTGs running. I will miss the screams of the women in labour. I will miss the screams of ‘ Room 8 – Caesar!! Room 4- vacuum!! Room 12 – os full!!’
I will miss the patients, they are the sweetest group of patients you’ll ever met. And bosses- they actually turned out to be not bad after all.
But the one thing that this posting taught me is – what I am definitely NOT good at…. So at least I know that once I get housemanship over and done with…..I will not be applying to any surgical based postings, or district postings or any postings related to procedures of any sorts. Just give me anything less stressful like admin, public health, pathology, psychiatry, anything that actually involves my strengths (because I am sure that God actually gives me strengths).. then I will be a happy person.
As I step foot into Paeds posting soon, I will be saying the same thing ‘ I miss O&G!!/ And the cycle goes on…

 

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Welcome back!!

So I've decided to relive this blog upon wise advice by a fellow TS sister :p  Writing is my passion and I have always felt the need to inspire and reach out to others through my writing. I feel immense joy whenever I write. But before this, I just simply didn't know where to start. Hopefully this blog will serve as a good starting platform for me to share my God given gift to inspire others. :) 

I'll start by posting some of the articles which I have been posting on Facebook over the past couple of years ( yes, I write on Facebook as I felt like I could reach out to more people there).